Coorey Stores Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

02145-1 Issued in NY

Legal business name

COOREY STORES INC

Practice address

8915 165TH St
Jamaica, NY 11432-5153

Phone

(718) 523-5150

Fax

(718) 523-5212

NPI assigned

Aug 28, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles Fields, OD

Title

Manger

Phone

(718) 523-5150

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Optical Warehouse Outlet Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251417600000",
    "number": "1306079033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8915 165TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325153",
            "telephone_number": "718-523-5150",
            "fax_number": "718-523-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 165TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325153",
            "telephone_number": "718-523-5150",
            "fax_number": "718-523-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOREY STORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-28",
        "last_updated": "2009-08-28",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "718-523-5150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "02145-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01857689",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optical Warehouse Outlet",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.